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Jun 17, 2020

Blister and red spot near scar - seeking advice

This topic is about a person who noticed a red, blister-like spot near their midline incision and ostomy barrier. The spot is oval, about the size of a quarter, and has developed blisters that sometimes weep clear fluid. Although it doesn't hurt, the surrounding skin itches. The person is currently treating it with hydrogen peroxide, air-drying, and an antifungal cream prescribed by a doctor. They plan to consult a VA physician and possibly a stoma nurse for further advice.

Here are some helpful insights and advice for similar situations:

1. If you notice a skin change that lasts for two weeks or more, or if it gets worse, it's important to have it checked by a medical professional. It could be due to an infection, a reaction to heat or a product, an ingrown hair, or other causes.

2. Consider the possibility of a retained or irritated surgical stitch causing the issue.

3. For similar lesions on an incision, some have found success by keeping the area clean, avoiding picking at it, applying prescribed topical creams, and allowing it to dry and scab naturally.

4. One person resolved a persistent, weeping skin sore by:
- Exposing the area to ozone from a home ozone generator for about an hour, using a plastic container to concentrate the gas.
- Ensuring the skin was completely dry afterward, then applying ConvaTec Stomahesive Powder and Stomahesive Paste before re-sealing the appliance.
- Repeating the ozone exposure with each appliance change, which cleared the irritation by the next change.

5. It's noted that medical ozone has been used for wound care since the early 1900s and is safe when applied correctly.

6. Patients with Crohn’s disease or IBD are more prone to various skin conditions such as abscesses, cellulitis, MRSA, pyoderma gangrenosum, and fungal infections. Therefore, any new lesion should be promptly assessed by a professional.
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